Indication: Male stress urinary incontinence with a residual function of the external sphincter muscle
The ATOMS (Adjustable TransObturator Male System) is a long-term, single-use adjustable implant. This hydraulic sphincter-cushion system substitutes urinary sphincter function in incontinent adult males.
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The high consistency rubber silicone cushion of ATOMS applies compression to the m. bulbospongiosus and thereby to the urethra. This compression reduces involuntary loss of urine while still facilitating physiological contraction to cause deliberate urination.
The sling is a self-anchoring device and the symmetrical positioning of the cushion below the urethra is achieved by a 4-point fixation. The integrated mesh arms are drawn back around the inferior pubic ramus to the middle of the implant to secure the system in place.
The attached port is positioned in the scrotum. Via the port, the filling volume of the cushion and thereby the compression to the m. bulbospongiosus is adjustable. Filling volume is adjusted using a non-coring port needle by the surgeon and depends on the patient´s anatomy and needs.
